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HomeMy WebLinkAboutBLD2005-00233 MLA05-00228 ItILDING PERMIT APPLICAT uN Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00233 Received Date: 4/14/2005 SITE ADDRESS: 460 CLEVELAND ST PORT HADLOCK, 98339 OWNER: REBECCA L TAYLOR PHONE: 360-385-1306 460 CLEVELAND ST PORT HADLOCK WA 9833C9784 SUBDIVISION: IRONDALE AC TRACTS Block: Lot: 79+ PARCEL NUMBER: 962700081 Section: 7 Township: 29 N Range: 01 E CONTRACTOR: SUITES CORPORATION O' "�'"--p,��'urAtievA• PHONE: 360-385-1191 211 TAYLOR ST, STE 17 a 1t'�O� PORT TOWNSEND WA 9836 9 Contractor's License SUITE**966L3 Expires 6/23/2006 REPRESENTATIVE: SUITETUORATION PHONE: 360-385-1191 • PROJECT DESCRIPTIOP HEATED ARTIST STUDIO W/ DECK 16' X 16' TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 256 VALUATION 29,560.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 30 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Type Amount Paid By: Date: Receipt: Approved/Date Permit $441.75 BAC 04/14/05 71792 APPROVED Plan Check $287.14 BAC 04/14/05 71792 State Building Code $4.50 BAC 04/14/05 71792 JUN - 7 2005 Total: $733.39 fferson County Planning & B • partment • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00233 Received Date 04/14/2005 SITE ADDRESS: 460 CLEVELAND ST Issue Date 06/7/2005 PORT HADLOCK, 98339 APPLICANT: REBECCA L TAYLOR PHONE: 360-385-1306 460 CLEVELAND ST PORT HADLOCK WA 983399784 • SUBDIVISION: IRONDALE AC TRACTS Block: Lot: 79+ PARCEL NUMBER: 962700081 Section: 7 Township: 29 N Range: 01 E CONTRACTOR: SUITES CORP RATION No 1do.'cC PHONE: 360-385-1191 211 TAYLET STE 17tst.-14.st-friA..In 11 S-14'� PORT TOWNSEND WA 98368 Contractor's License: SUITE**966L3 Expires: 6/23/2006 PROJECT DESCRIPTION: HEATED ARTIST STUDIO W/DECK 16' X 16' CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE REVERSE • SPECIAL CONDITIONS FOR CM t BLD05-00233 1.) No plumbing has been reviewed or approved for this structure. 2.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 3.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 4.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 6.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development. standards specific to the district in which the storage is kept, and shall be in keeping with the-character of the area. Screening shall meet the requirements of Unified Development Code.(UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a Permitted Use in Table 3-1 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 8.) The building height is not to exceed 35 feet. 9.) Setback from Cleveland St. right-of-way is no less than 20 ft., setback from Dunlap Dr. right-of-way is no less than 20 ft.side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 10.) The standard setback for residential structures, including common appurtenant structures such as garages and workshops, shall be thirty(30) feet or one (1) foot for each foot of bank height, whichever is greater. This setback shall be measured from the bank's edge when the bank's height exceeds 10 feet. When the bank's height is less than 10 feet, the setback shall be measured from the ordinary high water mark. The setback shall not exceed 100 feet. 11.) No plumbing has been reviewed or approved for this structure. • I:\F_BLD_Permit_Buildng.rpt 10/29/19 _460 CLEVELAND ST BLD05-233 _ TAYLOR Approvals Req'd Prior to Final Inspection SEP RAP ZON SIPZ DPW L(.1\(\ 1� • OWNER BUILDER STATEMENT • '?2, r1,` `, J ', ie signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that ` ey will be assuming the responsibility of the General Contractor for the proposed project. ' ignature: Date: 3ENERAL CONTRACTOR OR MANUFACTURED HOMEINSTALLER: PHONE: FAX: 4IIlrt_.S Cog ea _770A // (3 O) 3c 6-- / / ct / ( ) MAILING ADDRESS: Z// ' c,e •% SLR>r/= IF .`z7/L;-ha '.:))EMAIL: CONTRACTORS LICENSE WAINS NUMBER: /,:/Tr ** q&-e.,C 3 NUMBER ARCHITECT/ENGINEER: ,J 4 w, ,S•I NI C Pl )oi"16-/N/ PHONE (34,0) 76 3=Yq$FAx:(3 4 0) 7 , © jl i MAILING ADDRESS: .t. .30:97 0 . ail,' ,WA.�1 g.S -_ IL p z IN.nar—7ACc�i� �` �WS PRO '�F71 T ��4i2'it j.sN Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ,h. New a Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System , ❑ Alteration/Remodel ❑ Concrete Total: 1.?,-" Height ❑ Individual System ,I/ ❑ Repair ❑ Masonry SEP Permit# ,�t�� ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of H at:-7 Proposed: ❑ Public t , /',(,;(? &L. _ Total: _ Name of System: �> i If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current_ Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: K] Underground Tank ❑ Above ground Tank Size of Propane Tank: i7::: (7.,S/;‘/t .q Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank 0 Pelet Stove 0 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit-a-site plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage For`Offi Us my x , aV.az + 1 a c '"'ism•''£' Current Proposed `, ' N .-. "y' Main Floor , ' ' ' �_- 4y 4 _yzb ,, nonsistency Review �,, N,,�s ;C'�G NU • � � l . fix c 2 Floor Base fee: -t ' 3`a Floor Additional Section: V _' . , ': tom^ c Mezzanine: 'Plan Check fee: s Heated Basement ,',3 ' ' � �,4 ,_.:. �i State Sur harge�fee: _s� - Unheated Basement /�,, _ � �� 'n. r ` x: Pot Water Review-fee �.� �� � � L"%'.ti,z :,'{ a ., r a , 4:K S Other Unheated 911/Rd Approach fee: 1i � Garage/Carport a. iuga k, {5 . '.�, }� A/ TOTAL ; `"t e z ae r , , Kirk /&: : U} Decks ,,> 1,1 , 4 S 7;.� �). Receipt Number x t 1 ; 79 Other h/Check Number '� ..> - ESTIMATED COST(REQUIRED) s 4 _ ��" a � x . .Fair market value of all labor and materials foundation to rsh _ � r G:\PemutCenter\FOBMS\t RD FORMS\Master Permit Applic`auerr7 -04.doc 5oN c i i i t'._ APR 1 4 2005 I'.% 4O JEFFERSONWUNTY W' • 'yfrilikv DEPARTMENT OF COMMUNITY DEVELOPMENT 4 Y <<< r j �' - `44 621 Sheridan Street• Port Townsend •Washington 98368 `. .� 360/379-4450 • 360/379-4451 Fax �qSO� www.co.jefferson.wa.us/commdevelopment $ING' Master Permit Application MLA: U' S — � Project Description(include separate sheets as necessary): /2j /Q ' E--. O,Vii AI i(a'-T e U d I.E. — IC;)(/Ce' w r 7+4 CrNc A a _< Tax Parcel Property Number: ei 4,2 ?OO 04 / Size: -4c Ri.7,s, (acres/square feet) Site Address and/or Directions to Property: 4/6; C A 5.4 I,'' 4�r'nv / t c R r i IA�7,Le3C&/V�, 95 j Property Owner(s)of Record: k,,3 if(C#4 Y/�: ' Telephone: 3 0 3 .-)'- /3 0 C) Fax: email: • Mailing Address: Applicant/Agent(if different from owner): 5..' T%s C.e. 7 e‹-P6 Kf-2 77C,i,'" Telephone: 3'c<.(' -3 Y' '.5 - t ( °t I Fax: email: Mailing Address: 2 // '.1.74`, C ;‘;_. /. , .=i ir. :z_' /"7 70.rLT:rAlIv.C'"vT , t.U4. ci*--3.6' What kind of Permit?(Check each box that applies) .[u Building r ❑Variance(Minor,Major or Reasonable Economic Use) / ❑ Demolition Permit 4 c � S-- A:'0 ❑ Conditional Use[C(a),C(d),or C]** ❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** ❑Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRDyAmendments** ❑ Propane ❑ Plat Vacation/Alteration** LI Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment El Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: C y A E (7, - DESIGNATION OF AGENT I hereby designate `-1.\ El 'LV(� u -)to act as my agent in matters relating to this application for permit(s). �� /yam,/ s; OWNER SIGNATURE C•,t`,C _1 _ C. `1 Date: ' \ (; is `> By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omisson of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later insp ctions.Access and right of entry to this property shall be requested and shall occur only during regular business hours. ; Signature: _.�� —.d.t :..' Date: ,-.,/tel•L,A/:c• 4:: ,Z C.c?.,y` The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable respon/' ilit i,fpr adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature:,' `>�f/r '� k ��' Date: ''-/At :////L'�,/ (, 2 v.-j f / G:\PemritCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc